Role of a local therapeutic service in the timely identification, treatment, and rehabilitation of patients with coronary heart disease

• Main Authors: Nikolay Petrovich Korzhenkov, Svetlana Fedorovna Kuzichkina, Natal'ya Anatol'evna Shcherbakova, N P Korzhenkov, S F Kuzichkina, N A Shcherbakova
• Format: Article
• Language: Russian
• Published: "Consilium Medicum" Publishing house 2010-03-01
• Series: Терапевтический архив
• Subjects: early detection of coronary heart disease; diagnostic and therapeutic-and-prophylactic capabilities in a polyclinic; sociomedical expert examination
• Online Access: https://ter-arkhiv.ru/0040-3660/article/view/33365
• ISSN: 0040-3660; 2309-5342

Local polyclinic therapists' long experience in timely identifying, treating and rehabilitating patients with coronary heart disease (CHD) is analyzed. A local therapist's attention is given to different course types - the clinical manifestations of CHD. The principles of continuity in the work of a therapist and a hospital: possibilities of extrahospital treatment are denoted; indications for hospitalization are specified. Rehabilitative measures include psychotherapy sessions in addition to drug, dietary, and exercise therapies. Continuity in the work of a therapeutic unit and a sociomedical expert commission contributes to the elaboration of clearer criteria for determining the degree of working capacity loss.